No doubt, this is a distant dream
Here is why :
It is facing
obstacles of ,
Ø Hardware
( every piece of medical device to be internet connected and standardized ? )
and
Ø Software ( common central database + collaboration
between millions of separate / stand-alone / unstructured / non-standardized
databases held on different servers of doctors / hospitals / nursing homes /
labs / health centers etc )
Ø Concerns
about private / personal health data of an individual getting leaked to others
Ø A
massive exercise of training millions of health workers to scrupulously follow
SOP ( Standard Operating Procedures ) in each and every interaction with a sick
person and record their findings / observations / recommendations etc in
STANDARDIZED FORMS , across entire country
It will take
time for our National Health Vault / National Health Stack , to get universally
“ accepted “ and “practiced “, by the patients / health workers / health
institutions
But that process can accelerate if the Government (with
the cooperation of country-wide health workers ) undertake a campaign to
CONVINCE the citizen, the long-term benefits of this exercise , viz :
PREDICTION and PREVENTION of ILLNESSES
to each citizen
By citing following – and similar – examples :
AI Model Could Help Patients Predict Disease Risk With
Electronic Health Records / 06
Nov 2020
Extract :
Ø Electronic health
records use a two-level hierarchical structure to capture the medical journey
of a patient using International Classification of Diseases
(ICD) codes. The hierarchy
begins with the patient, followed by the chronological sequence of visits. Then within each visit, ICD codes are stored with the recorded
symptoms for that visit.
Ø He added, ““The model can output the probability of whether the patient will
suffer some disease. For some patients,
they may not have clear symptoms at the current time, but the model can make a prediction.”
Ø The researchers conducted experiments on
three real-world electronic health record datasets of patients with heart
failure, kidney disease and dementia, and found that LSAN outperformed existing state-of-the-art shallow methods and deep
learning models.
===================================================
It is indeed
heartening that , Shri Indu Bhushan ( CEO – Ayushman Bharat / i.bhushan@gov.in ) has come up with “ NDHM
Sandbox “ , which
will enable “ controlled experimentations “, as explained below :
Accelerating Digital Health Innovation / Eco Times – 26 Nov 2020
Extract :
# NDHM has created a “sandbox “that enables technologies or
products to be tested in a contained environment
and duration – subject to NDHM
standards and oversight – and judge the
consumer and market reactions to the
same
# The sandbox will facilitate integration of current systems and IT platforms in healthcare with NDHM building
blocks
namely , Health ID, Doctors’ and Health Facility Registries, and Patient Health
Records
# At its core, the sandbox has been created with the
objective to foster RESPONSIBLE INNOVATION in
Health
Tech Services,
promote efficiency and bring benefit to consumers
# The sandbox brings together healthcare and
health tech service providers, centrally and state run public health
programmes
, software providers, healthcare aggregators, tech companies to TEST and
INTEGRATE their
products
and services with NDHM
# The NDHM sandbox is founded on the idea that the
government, private sector and citizen need to work
together as
partner to solve the problem of healthcare. It will enable “ learning by doing “ on all sides
===================================================
Following is a brief list of those “ RESPONSIBLE INNOVATIONS “, which , I think Shri
Bhushan would want to experiment with, in NDHM sandbox :
===================================================
Source : Modicare
: A Game Changer ………………….[ 01 Feb 2018 ]
Extract :
Each
eligible family member to be issued a “ Ayushman Card “ ( linked to Aadhar ID )
As an alternative , a GPS enabled / NFC capable Smart Phone
pre-loaded with AYUSHMAN MOBILE APP , could be considered to replace the card
===================================================
Ayushman
Bharat : Think Big ……………………………………[ 23 Sept 2018 ]
Extract :
Tomorrow, each medical
device will be embedded with sensors / transmitters and be Internet connected ( IoT ) to relay their readings to the Central
Health Server of Ayushman Bharat
Government will make it
mandatory for the device manufacturers to embed such
sensors
And, day after tomorrow, these devices will become nano-size and get
printed as electronic tattoos on our skins or become
integral parts of our bodies, like contact lenses or stents
What is in
it for Ayushman Bharat ?
Consider
this :
# Doctor
takes the readings of the patient using these internet connected devices
# Devices
transmit these data to the smart phones of both, the doctor and the patient
# These phones
transmit these data to the Central Health Care Server of Ayushman Bharat and
update the LIFE
TIME MEDICAL HISTORY of that person
# This
history can be accessed only by the “ Authorized “ health centers / hospitals /
nursing homes , which are
official partners of the Ayushman Bharat scheme
Imagine all the Medical Devices ( including
ECG / EEG / PET Scan, located in private clinics / health centers /
hospitals / nursing homes / Path labs / Diagnostic centers etc ), transmitting to a Central Server ,
# Medical
diagnosis
# Treatment
# Administered
drugs
# Surgical
procedures
-
for all 50 crore citizens covered by this scheme
And imagine
such petabytes of health data being subjected to BIG DATA analysis using
AI !
Ayushman
Bharat has the potential to usher this Health-care Revolution
When that
happens , expect the AI to do the following :
# Offer Customized healthcare / Medical
treatment / Supplementary diet
# Guide your family doctor to prescribe the best-suited
medicine for each member of your family
# Recommend some “ preventive “ medicines before a
disease manifests itself !
=====================================================
2024 ! – V 2.0 of Orwellian 1984 ? ……………………………….[ 07 July 2017 ]
Extract :
There are 7,000 million people on the earth
It is possible that , at
any given time , some 7 million of these are lying
in ICU , connected with :
* Electroencephalogram ( Brain Monitor )
* Electrocardiogram ( Heart Monitor )
* Pulse Rate Meter
* Oxygen Level Meter
* Glucose Level Meter........etc
As soon as these instruments get embedded with Internet of Things ( IoT ),
a central server could collect all of these " measurements /
readings " on 24*7 basis , for all 7 million persons
Then it will combine
these readings with following data about each of those 7 million persons :
* Country / Region / City / Language
* Race / Religion / Gender / Age
* Height / Weight / Colour /
Biometrics
* Blood Group / DNA / Past Medical History.....etc
It will also record , who died / when !
Using such massive data base, can BIG DATA / Artificial Intelligence /
Machine Learning, figure out what “Customized healthcare / Medical treatment /
Supplementary diet " should be " prescribed " for each human on
this earth ?
Shall we support such " Invasion of
Individual Privacy " , in the larger interest / benefit of
entire mankind ?
I think, we should
===================================================
Dear Shri Indu Bhushanji,
I suppose, much like Martin Luther King, you too are
saying : I have a dream !
May God fulfill your dream
With regards,
Hemen Parekh / hcp@recruitGuru.com / 30 Nov 2020
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